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Making Hernia Surgery History

Chief of Pediatric Surgery Saad A. Saad, M.D., speaks with 3-year-old Zachary Mueller of Little Silver after his hernia surgery — performed through an innovative technique that eliminates the need for second incision.

In 1996, hernia repair surgery for children made history at Monmouth Medical Center.

Saad A. Saad, M.D., and Michael A. Goldfarb, M.D., FACS, became the first surgeons in the country to successfully perform an innovative technique that eliminates the need for a second incision
— a surgical breakthrough that has since become the standard of care.

While conventional hernia surgery had meant repairing the protusion on the affected side of the abdomen and then making another surgical incision on the other side to check for a second hernia, Chief of Pediatric Surgery Saad A. Saad, M.D., speaks with 3-year-old Zachary Mueller of Little Silver after his hernia surgery — performed through an innovative technique that eliminates the need for second incision. Dr. Saad found that through the use of a bronchoscope — a telescope with working channels used to look inside the windpipe — he could explore the abdomen on the opposite side through the first incision.

Through this technique, known as contralateral exploration of inguinal hernia, most children can avoid unnecessary scarring from a second incision, as well as wound infections.

Surgery to repair hernias is one of the most common operations for children, and in 80 percent of the cases, there is no hernia on the opposite side.

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